WASHOE BARTON MEDICAL CLINIC A NEVADA NONPROFIT CORPORATION: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- WASHOE BARTON MEDICAL CLINIC A NEVADA NONPROFIT CORPORATION (EIN 88-0405927)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-14
- IRS object ID
- 202443199349306144
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-14T11:19:00-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554027033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 880405927 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Washoe Barton Medical Clinic | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WASH | BusinessNameControlTxt |
| Phone | 7757821500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1107 Hwy 395 | AddressLine1Txt |
| City | Gardnerville | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89410 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Colleen Reid | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7757821500 | PhoneNum |
| Signature | 2024-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2024-11-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carson Valley Health | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Colleen Reid | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1107 Hwy 395 | AddressLine1Txt |
| City | Gardnerville | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89410 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $122,895,089 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | carsonvalleyhealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | NV | LegalDomicileStateCd |
| Activity Or Mission | Nevada non-profit corporation which operates as the sole hospital in the county. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 661 | TotalEmployeeCnt |
| Total Volunteers | 17 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,626,560 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,745 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $85,245,101 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $97,664,271 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,306,012 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,649,978 | CYInvestmentIncomeAmt |
| PY Other Revenue | $249,518 | PYOtherRevenueAmt |
| CY Other Revenue | $205,286 | CYOtherRevenueAmt |
| PY Total Revenue | $89,427,191 | PYTotalRevenueAmt |
| CY Total Revenue | $101,529,280 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $36,402,214 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $41,035,958 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $157,279 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $42,215,350 | PYOtherExpensesAmt |
| CY Other Expenses | $48,205,772 | CYOtherExpensesAmt |
| PY Total Expenses | $78,617,564 | PYTotalExpensesAmt |
| CY Total Expenses | $89,241,730 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,809,627 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,287,550 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $162,865,064 | TotalAssetsBOYAmt |
| Total Assets EOY | $182,067,455 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $59,630,726 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $63,965,167 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $103,234,338 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $118,102,288 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Our mission is to care for your health and wellness. Our vision is to strengthen our community by providing accessible, affordable, high quality healthcare to all. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $53,448,381 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $53,615,094 | RevenueAmt |
| Desc | Washoe Barton Medical Clinic dba Carson Valley Health:Carson Valley Health, a 23-bed critical access hospital, covers a service area that includes approximately 50,000 residents. A focus on patient centered care and quality have resulted in Carson Valley Health consistently ranking high in patient satisfaction on both inpatient and outpatient consumer satisfaction surveys. Carson Valley Health facilities include a full-service hospital, Emergency Room, Infusion, Lab, Medical Imaging, Physical and Respiratory Therapy, Senior Mental Health, Sleep & Neurodiagnostic Lab, Wound Care and Telemedicine. Clinics include Carson Valley Health Senior Care (a provider-based clinic servicing patients over 65), (continued on Schedule O)Job's Peak Internal Medicine & Family Practice, Topaz Ranch Medical Clinic, Minden Family Medicine and Complete Care, Ironwood Primary Care, Ironwood Urgent Care and Occupational Health Clinics. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,853,132 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $28,685,837 | RevenueAmt |
| Desc | Pharmacy:Program expenses are used in the provision of health care services to the community. Carson Valley Health provides inpatient and outpatient pharmaceutical services for the hospital and outpatient clinics. In 2023, there were higher patient acuities and more patient volume than the previous year. In 2023 213,698 pharmacy orders were processed. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,602,727 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $15,363,340 | RevenueAmt |
| Desc | Surgery:Program expenses are used in the provision of surgical services to the community. Carson Valley Health provides inpatient and outpatient surgery services. Emergency and elective surgeries are performed by general and specialty surgeons. In 2023, 1,875 surgeries were performed at Carson Valley Health. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $73,904,240 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 191 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 661 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Colleen Reid | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7757821649 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1107 Highway 395 N | AddressLine1Txt |
| City | Gardnerville | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89410 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Clint Purvance | ||||||||
| Chairman | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Kelly Neiger | ||||||||
| Secretary | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Ann Beck | ||||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Brian Earling MD | ||||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Paul Fry III MD | ||||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Rahul Mediwala | ||||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Jeff Prater | ||||||||
| CEO | 40.00 | 1.00 | Yes (X) | $474,697 | $0 | $43,529 | ||
| Colleen Reid | ||||||||
| CFO | 40.00 | 0.00 | Yes (X) | $283,128 | $0 | $43,928 | ||
| Brandon Battis | ||||||||
| Pharmacy Manager | 40.00 | 0.00 | $202,645 | $0 | $51,644 | Yes (X) | ||
| Leslie McGraw | ||||||||
| Physician Assistant | 40.00 | 0.00 | $182,790 | $0 | $35,178 | Yes (X) | ||
| Shannon Rogers | ||||||||
| Director of Operations | 40.00 | 0.00 | $200,140 | $0 | $36,369 | Yes (X) | ||
| Valerie Harrell | ||||||||
| Medical Imaging Supervisor | 40.00 | 0.00 | $175,848 | $0 | $33,543 | Yes (X) | ||
| Andrea Highfill | ||||||||
| Chief Nursing Officer | 40.00 | 0.00 | $171,130 | $0 | $20,941 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,690,378 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $265,132 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 62 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Renown Health Medical Group | |||||
| 780 Kuenzli St Suite 202 | Reno | NV | 89502 | Physician Salaries, Physician Read Fees | $6,274,145 |
| Leman Medical Corp | |||||
| 1122 Monterra Drive | Minden | NV | 89423 | ER Physician Group | $2,919,070 |
| Aya Healthcare Inc | |||||
| Po Box 123519 | Dallas | TX | 75312 | Contract Labor | $1,049,981 |
| Renown Health | |||||
| 1155 Mill Street - Z5 | Reno | NV | 89502 | EMR Support | $1,000,081 |
| Barton Healthcare Systems | |||||
| 2170 South Ave | South Lake Tahoe | CA | 96150 | I.T. Services and Equipment, Lab Service | $766,256 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $9,745 | RelatedOrganizationsAmt |
| Total Contributions | $9,745 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Services | 621400 | $96,457,338 | $96,457,338 |
| Other Supporting Revenue | 900099 | $1,206,933 | $1,206,933 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $97,664,271 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,640,301 | TotalRevenueColumnAmt |
| Exclusion | $3,640,301 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $205,286 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $205,286 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $205,286 | TotalRevenueColumnAmt |
| Exclusion | $205,286 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,375,486 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,365,809 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,677 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,677 | TotalRevenueColumnAmt |
| Exclusion | $9,677 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $101,529,280 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $97,664,271 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,855,264 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $845,283 | TotalAmt |
| Management And General | $845,283 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,231,633 | TotalAmt |
| Program Services | $25,772,006 | ProgramServicesAmt |
| Management And General | $5,362,666 | ManagementAndGeneralAmt |
| Fundraising | $96,961 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $677,186 | TotalAmt |
| Program Services | $506,467 | ProgramServicesAmt |
| Management And General | $168,300 | ManagementAndGeneralAmt |
| Fundraising | $2,419 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,943,129 | TotalAmt |
| Program Services | $4,740,758 | ProgramServicesAmt |
| Management And General | $1,168,792 | ManagementAndGeneralAmt |
| Fundraising | $33,579 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,338,727 | TotalAmt |
| Program Services | $1,908,278 | ProgramServicesAmt |
| Management And General | $423,975 | ManagementAndGeneralAmt |
| Fundraising | $6,474 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,540 | TotalAmt |
| Management And General | $53,540 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,281 | TotalAmt |
| Management And General | $124,281 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,689 | TotalAmt |
| Management And General | $120,689 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $978 | TotalAmt |
| Program Services | $978 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,126 | TotalAmt |
| Management And General | $19,126 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,491,541 | TotalAmt |
| Program Services | $16,044,831 | ProgramServicesAmt |
| Management And General | $3,443,410 | ManagementAndGeneralAmt |
| Fundraising | $3,300 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $572,006 | TotalAmt |
| Program Services | $22,440 | ProgramServicesAmt |
| Management And General | $542,046 | ManagementAndGeneralAmt |
| Fundraising | $7,520 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $842,063 | TotalAmt |
| Program Services | $494,689 | ProgramServicesAmt |
| Management And General | $344,261 | ManagementAndGeneralAmt |
| Fundraising | $3,113 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $385,396 | TotalAmt |
| Program Services | $21,849 | ProgramServicesAmt |
| Management And General | $363,531 | ManagementAndGeneralAmt |
| Fundraising | $16 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,138,497 | TotalAmt |
| Program Services | $853,455 | ProgramServicesAmt |
| Management And General | $284,463 | ManagementAndGeneralAmt |
| Fundraising | $579 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,391 | TotalAmt |
| Program Services | $21,442 | ProgramServicesAmt |
| Management And General | $32,147 | ManagementAndGeneralAmt |
| Fundraising | $2,802 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $327,148 | TotalAmt |
| Program Services | $145,377 | ProgramServicesAmt |
| Management And General | $181,646 | ManagementAndGeneralAmt |
| Fundraising | $125 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,660 | TotalAmt |
| Program Services | $163,673 | ProgramServicesAmt |
| Management And General | $25,987 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,070,907 | TotalAmt |
| Program Services | $3,513,117 | ProgramServicesAmt |
| Management And General | $557,790 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $564,888 | TotalAmt |
| Program Services | $22,410 | ProgramServicesAmt |
| Management And General | $542,478 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $19,192,201 | $19,045,427 | $146,774 |
| NV Provider Fee | $325,464 | $325,464 | |
| Equipment Rental/Lease | $163,309 | $152,577 | $10,732 |
| Licenses & Taxes | $70,818 | $56,061 | $14,757 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $496,869 | TotalAmt |
| Program Services | $92,941 | ProgramServicesAmt |
| Management And General | $403,537 | ManagementAndGeneralAmt |
| Fundraising | $391 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,241,730 | TotalAmt |
| Program Services | $73,904,240 | ProgramServicesAmt |
| Management And General | $15,180,211 | ManagementAndGeneralAmt |
| Fundraising | $157,279 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,648,729 | BOYAmt |
| EOY | $40,060,520 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,465,248 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,828,176 | BOYAmt |
| EOY | $13,827,623 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,089,362 | BOYAmt |
| EOY | $2,186,380 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $579,773 | BOYAmt |
| EOY | $769,959 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $101,197,674 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $37,067,588 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,569,976 | BOYAmt |
| EOY | $64,130,086 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,976,170 | BOYAmt |
| EOY | $57,423,553 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $707,630 | BOYAmt |
| EOY | $854,410 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,814,924 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,865,064 | BOYAmt |
| EOY | $182,067,455 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,166,001 | BOYAmt |
| EOY | $14,421,725 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,370,760 | BOYAmt |
| EOY | $45,915,586 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $410,139 | BOYAmt |
| EOY | $502,004 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,683,826 | BOYAmt |
| EOY | $3,125,852 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,630,726 | BOYAmt |
| EOY | $63,965,167 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,237,037 | BOYAmt |
| EOY | $114,474,876 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,997,301 | BOYAmt |
| EOY | $3,627,412 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,234,338 | BOYAmt |
| EOY | $118,102,288 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,865,064 | BOYAmt |
| EOY | $182,067,455 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $12,287,550 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,590,460 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$10,060 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $978 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $978 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990, Schedule C, Part II-B, Line 1i: | FormAndLineReferenceDesc |
| Explanation | Dues paid to associations that are required to report lobbying activities. The portion attributable to lobbyng activities as reported by the associations was $978. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $187,000 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $3,428,979 | OtherCostOrOtherBasisAmt |
| Book Value | $3,615,979 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,892,349 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,689,724 | DepreciationAmt |
| Book Value | $20,202,625 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,841,254 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,477,941 | DepreciationAmt |
| Book Value | $5,363,313 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,848,092 | OtherCostOrOtherBasisAmt |
| Depreciation | $899,923 | DepreciationAmt |
| Book Value | $34,948,169 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $64,130,086 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated Third Party Payor Settlements | $1,981,560 |
| Finance Lease | $1,144,292 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,125,852 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $104,227,593 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $2,590,460 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $126,979 | OtherRevenueAmt |
| Revenue Not Reported | $2,717,439 | RevenueNotReportedAmt |
| Revenue Subtotal | $101,510,154 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $19,126 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $19,126 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $101,529,280 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $89,250,745 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $28,141 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $28,141 | ExpensesNotReportedAmt |
| Expenses Subtotal | $89,222,604 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $19,126 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $19,126 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $89,241,730 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. |
| Part XI, Line 2d - Other Adjustments: | Eliminate Foundation Activity for Separately Filed Form 990 126,979. |
| Part XII, Line 2d - Other Adjustments: | Eliminate Foundation Activity for Separately Filed Form 990 28,141. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $995,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $995,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01110 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,714,810 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,078,893 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,635,917 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01830 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,709,810 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,078,893 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,630,917 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02940 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $952,704 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $84,277 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $868,427 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00970 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,122,849 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,409,619 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,713,230 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09760 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,075,553 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,493,896 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,581,657 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10730 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,785,363 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,572,789 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,212,574 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13670 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $840 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $840 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $600 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,440 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,440 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,594,907 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $29,365 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $30,474,566 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $30,380,027 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $94,539 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Washoe Barton Medical Clinic | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1107 Hwy 395 | AddressLine1Txt |
| City | Gardnerville | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89410 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | carsonvalleyhealth.org | WebsiteAddressTxt |
| State License | 3986RUH-14 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | 2 provider based clinics | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carson Valley Health | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Section C, line 7d | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Section C, line 7d | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, Line 16a | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Line 16b | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Line 16c | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Carson Valley Health | Part V, Section B, Line 5: To solicit input from community stakeholders (key informants), those individuals who have a broad interest in the health of the community, an Online Key Informant Survey was implemented as part of this process. A list of recommended participants was provided by Carson Valley Health; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey, and providing a link to take the survey online. |
| Carson Valley Health | Part V, Section B, Line 7d: https://www.carsonvalleyhealth.org/about-us/health-needs-assessment/ |
| Carson Valley Health | Part V, Section B, Line 11: In the 2022 CVH Community Health Needs Assessment, the overall health of Douglas County was found to be favorable in comparison to the state and country. The report identifies the following 9 areas of health needs for Douglas County: 1. Mental Health 2. Potentially Disabling Conditions 3. Substance Abuse 4. Heart Disease and Stroke 5. Nutrition, Physical Activity, and Weight 6. Access to Healthcare Services 7. Cancer 8. Oral Health 9. Infant Health and Family Planning The following health needs identified in the Community Health Needs Assessment are better suited for other community organizations to address and CVH will support these organizations in their efforts: 1. Potentially Disabling Conditions 2. Substance Abuse 3. Oral Health 4. Infant Health & Family Planning In 2023 we addressed the following from our 2022 CHNA:Mental Health:1) Increase Number of Mental Health Providers: In 2023 we employed eight mental health providers. 2) Increase Number of Patients Served Dealing with Depression: In 2023 we treated 16% more patients with the primary diagnosis of depression.3) Support Local Partners. CVH supports the Suicide Prevention Network through assigning Erin Dudley, CVH Behavioral Health Manager, as a board member. CVH also donated $5000 in 2023 to support Suicide Prevention Network's programs and initiatives. Heart Disease and Stroke:1) Increase Cardiology Providers at CVH: In 2023, CVH contracted with a cardiology group who provided four cardiologists to cover the Carson Valley, seeing patients in two CVH clinics. 2) Increase Heart Health Community Screenings: In 2023, we provided 23 heart health discounted wellness screenings.Nutrition, Physical Activity and Weight:1) Host Community Education: In 2023 we included nutritional advice and resources in our bi-annual community mailer as well as our monthly e-newsletter and social media.2) Support Groups: In 2023 we offered 12 sessions of our Weight Management for Diabetics support group and provided 59 discounted nutritional counseling sessions.Access to Health Care Services: 1) Recruit New Primary Care Physicians: In 2023 CVH added four new primary care providers to serve the community.2) Increase number of primary care visits: In 2023 we saw a 7% increase in primary care visits.Cancer:1) Increase number of mammograms performed: In 2023, CVH performed 2715 mammograms. This was a decrease from the previous year due to staffing levels. |
| Carson Valley Health | Part V, Section B, Line 16j: English and Spanish are readily available and if another language is needed, then the FAP is translated into that language. |
| Part V, Line 16a-16c | Line 16a: https://www.carsonvalleyhealth.org/documents/content/COMMUNITY-CARE-POLICY-0223.pdfLine 16b: https://www.carsonvalleyhealth.org/documents/content/FinancialAssitanceApplication.pdfLine 16c: https://www.carsonvalleyhealth.org/documents/content/FAP-English.docx.2).pdf |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Carson Valley Health at Minden Village | ||||
| 1649 Lucerne St Unites A B | Minden | NV | 89423 | Medical Clinic |
| 2 - CVH Primary Care at Ironwood | ||||
| 897 Ironwood Dr | Minden | NV | 89423 | Medical Clinic |
| 3 - CVH Occupational Medicine | ||||
| 897 Ironwood Drive | Minden | NV | 89243 | Medical Clinic |
| 4 - Carson Valley Health Urgent Care | ||||
| 897 Ironwood Dr | Minden | NV | 89423 | Medical Clinic |
| 5 - CVH Primary Care Virginia Ranch | ||||
| 1520 Virginia Ranch Rd Unit B | Gardnerville | NV | 89410 | Medical Clinic |
| 6 - CVH Primary Care at Topaz Ranch | ||||
| 3919 Carter | Wellington | NV | 89444 | Medical Clinic |
| 7 - Specialty Care | ||||
| 897 Ironwood Dr | Minden | NV | 89423 | Medical Clinic |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | Line 7a:Financial Assistance was calculated by multiplying the ratio of cost to gross charges for the Organization by the gross uncompensated charges associated with providing charity care to its patients.Line 7b and 7g:Unreimbursed Medicaid and Subsidized Health Services are calculated using the cost report and analyzing the Medicare ratio of cost to charge for the respective cost centers. Line 7e:Community health improvement services are actual costs reported in the general ledger. Line 7i:Cash and in-kind donations are actual costs reported in the general ledger. |
| Part I, Line 7g: | Carson Valley Health runs seven physician clinics to treat patients in the community. The clinics need to be subsidized by the hospital to meet their payroll and other monthly expense needs. The subsidized health services amount includes $4,832,040 associated with two rural health clinics and $7,779,967 from physician clinics. |
| Part II, Community Building Activities: | Community Support includes support groups provided to the community including nutrition, weight loss, grief and mental health. Coalition building includes participation in a community mental health coalition. |
| Part III, Line 2: | The amount reported on line 2 represents implicit price concessions. The hospital determines its estimate of implicit price concessions based on its historical collection experience with this class of patients. |
| Part III, Line 3: | The Hospital estimated the amount of implicit price concessions attributable to patients eligible under the organization's financial assistance policy by applying the percentage of charity care to total patient gross charges to the implicit price concessions. |
| Part III, Line 4: | The financial statement footnote regarding implicit price concessions may be found on page 16 and 17 of the attached financial statements. |
| Part III, Line 8: | Total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services. |
| Part III, Line 9b: | The general billings and collections policy applies to all patients, including any application under the charity care policy. The Hospital does not send patient accounts to collections before 120 days of the date of the first invoice. The Hospital will pull back patient accounts from collections if a patient submits a financial assistance application within 240 days of the date of the first invoice. |
| Part VI, Line 2: | In addition to the community health needs assessment, CVH regularly assesses data trends and utilization data from internal sources as well as secondary sources (state and local agencies, Nevada Rural Hospital Partners, Nevada Hospital Association, etc.) to assess community need. CVH partners with local development authority, Chambers of Commerce, and government committees to ensure CVH is responding to the needs of the community. |
| Part VI, Line 3: | Communication is via website, brochures, telephone and in person. Website is https://www.carsonvalleyhealth.org/patients-visitors/financial-assistance/ |
| Part VI, Line 4: | Carson Valley Health (CVH), serves Douglas County which is an area spanning 710 square miles and includes eight ZIP codes: 89705 (south Carson City), 89460 (Gardnerville Ranchos), 89411 (Genoa), 89423 (Minden), 89448 (Zephyr Cove), 89449 (Stateline), 89444 (Topaz Ranch) and 89410 (Gardnerville). It also includes outlying areas that include Wellington NV, Markleeville, CA and Coleville, CA. This broad area encompasses various neighborhood settings, including both rural and suburban areas. CVH is in Douglas County, NV, which has a population of 49,463 (80% white, 14% Hispanic, 2% Native American). Median household income is $61,176, with 9.8 percent of population in poverty. (Data from Carson City Health & Human Services: Primary & Secondary Data Sets, 2019). |
| Part VI, Line 5: | The majority of the organization's board of directors is comprised of persons serving in the medical community of the greater Northern Nevada area. The organization extends medical staff privileges to credentialed and approved practitioners in its community. The organization's mission is to promote the health and wellness of the Carson Valley and its visitors. Surplus funds are used to acquire equipment and resources that improve patient care.CVH Emergency Room available to all patients, regardless of ability to pay.CVH is committed - as the community hospital - to promote the health of the members of the community. We do so through community outreach and wellness programs, including reaching out to local employers in our workplace wellness programs and offering low cost and free screenings to detect and prevent illness and disease. The hospital operates a 24 hour emergency room for medically necessary care to all regardless of ability to pay. The hospital participates in education and training of healthcare professionals. The hospital participates in government-sponsored health programs such as all Medicaid, Medicare, Tricare, all Veterans Administration healthcare and Indian Health Services. The organization is the sole community hospital in Douglas County. The organization currently has 17 active volunteers. The organization has numerous employees involved in local and state community programs including Douglas County Business Council, Minden Rotary, Carson Valley Chamber of Commerce, Nevada Rural Hospital Partners, National Association for Healthcare Quality, American Hospital Association, MGMA, Boy Scouts of America, Family Support Council of Douglas County, Partnership of Community Resources, Tahoe Youth and Family Services, Kiwanis, and the Douglas County Community and Senior Center.Community outreach and education are provided to our community members to increase awareness of prevalent health issues and promote healthy behaviors and lifestyles. Programs include workplace wellness, health fairs, career days, and services provided at large-scale community events. The organization is responsive to the community needs such as opportunities for community involvement in governance and advisory groups. The organization serves as a vehicle for attracting and effectively using donated funds. |
| Part VI, Line 6: | Although this hospital is not in an affiliated health system, it does have two members, each about 45 miles away serving different communities. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jeff Prater | ||||||||||||||
| CEO | $384,628 | $0 | $88,275 | $0 | $1,794 | $0 | $11,550 | $0 | $31,979 | $0 | $518,226 | $0 | $0 | $0 |
| Colleen Reid | ||||||||||||||
| CFO | $235,765 | $0 | $44,602 | $0 | $2,761 | $0 | $10,021 | $0 | $33,907 | $0 | $327,056 | $0 | $0 | $0 |
| Brandon Battis | ||||||||||||||
| Pharmacy Manager | $202,375 | $0 | $0 | $0 | $270 | $0 | $7,283 | $0 | $44,361 | $0 | $254,289 | $0 | $0 | $0 |
| Shannon Rogers | ||||||||||||||
| Director of Operations | $199,690 | $0 | $0 | $0 | $450 | $0 | $5,284 | $0 | $31,085 | $0 | $236,509 | $0 | $0 | $0 |
| Leslie McGraw | ||||||||||||||
| Physician Assistant | $180,810 | $0 | $1,980 | $0 | $0 | $0 | $6,523 | $0 | $28,654 | $0 | $217,967 | $0 | $0 | $0 |
| Valerie Harrell | ||||||||||||||
| Medical Imaging Supervisor | $175,848 | $0 | $0 | $0 | $0 | $0 | $2,287 | $0 | $31,256 | $0 | $209,391 | $0 | $0 | $0 |
| Andrea Highfill | ||||||||||||||
| Chief Nursing Officer | $170,680 | $0 | $450 | $0 | $0 | $0 | $5,775 | $0 | $15,166 | $0 | $192,071 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Public Finance Authority | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 273866124 | BondIssuerEIN |
| CUSIP | 074442CH4 | CUSIPNum |
| Bond Issued | 2021-07-28 | BondIssuedDt |
| Issue Price | $47,811,942 | IssuePriceAmt |
| Purpose | Refund 2013 TE Bonds; Payoff Mortgage; Build Inpatient, Imaging, Surgery,ER | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $47,811,942 | TotalProceedsAmt |
| In Reserve Fund | $2,652,012 | InReserveFundAmt |
| Capital Expenditures | $21,947,614 | CapitalExpendituresAmt |
| Other Spent Proceeds | $5,200,742 | OtherSpentProceedsAmt |
| Unspent | $18,011,574 | UnspentAmt |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Clint Purvance and Kelly Neiger have a business relationship. Brian Earling, Ann Beck and Rahul Mediwala have a business relationship. |
| Form 990, Part VI, Section A, line 6 | The Corporation shall have two (2) Members, which shall be Renown Health and Barton Healthcare System. |
| Form 990, Part VI, Section A, line 7a | Each member shall have the right to appoint 50% of the board members. Each member has the right to remove any or all of its designated directors at any time and from time to time. |
| Form 990, Part VI, Section A, line 7b | The following actions or items will require the approval of the Members prior to implementation or becoming effective: (a) Adoption and amendment of a strategic plan; (b) Development and adoption of investment policies; (c) Amendment, restatement or repeal of the Articles or these Bylaws; (d) Purchase, sale, transfer, conveyance, assignment, pledge, hypothcatio, encumbrance, gift or lease of any asset of the Corporation, which involves the receipt or payment of $1,000,000 or more; (e) Incurrence of debt or equity financing for any prupose in the amount of $1,000,000 or more; (f) Purchase or acquistion of another orgranization; (g) Joint venture with any other organization, entity or person; (h) Merger, consolidation, or dissolution of the Corporation. (i) The sale, lease, conveyance or other transfer of all or substantially all of the Corporation's assets; and (j) Admission of additional members. |
| Form 990, Part VI, Section A, line 8b | The organization does not have any committees with the authority to act on behalf of the governing body. |
| Form 990, Part VI, Section B, line 11b | A draft copy of the Form 990 is reviewed in detail by the organization's Chief Finance Officer. An electronic copy of the Form 990 is sent to all voting members of the board of directors for their review and comments prior to filing with the Internal Revenue Service. |
| Form 990, Part VI, Section B, line 12c | The conflict of interest policy covers directors, officers and managing employees of Carson Valley Health. According to established policies there is an on-going review of contracts and enforcement is handled by the Corporate Compliance Officer. If a potential conflict is disclosed the interested person is required to leave the Board or committee meeting while the matter is discussed and voted upon. The remaining Board or committee members determine if a conflict does exist. |
| Form 990, Part VI, Section B, line 15a | The CEO, CFO, and key employees' compensation are determined using a regionally recognized market survey and competitor comparisons. The CEO's compensation is also reviewed and approved by the board of directors. The compensation is reviewed annually. The CEO and Human Resources review the compensation of the CFO. |
| Form 990, Part VI, Section C, line 19 | The governing documents, conflict of interest policy, and financial statements are available to the public upon request. |
| Form 990, Part IX, line 11g | Consulting: Program service expenses 131,694. Management and general expenses 314,825. Fundraising expenses 0. Total expenses 446,519. Contract Labor: Program service expenses 1,368,573. Management and general expenses 15,716. Fundraising expenses 0. Total expenses 1,384,289. Medical Professional Fees: Program service expenses 12,651,596. Management and general expenses 168,970. Fundraising expenses 0. Total expenses 12,820,566. Other Professional Fees: Program service expenses 93,277. Management and general expenses 285,447. Fundraising expenses 3,102. Total expenses 381,826. Other Purchased Services: Program service expenses 516,504. Management and general expenses 2,624,259. Fundraising expenses 0. Total expenses 3,140,763. Repairs and Maintenance: Program service expenses 1,283,187. Management and general expenses 34,193. Fundraising expenses 198. Total expenses 1,317,578. |
| Form 990, Part XI, line 9: | Other Change in Foundation Net Assets -10,060. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carson Valley Medical Center Rural Health Clinic LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1107 Highway 395 | AddressLine1Txt |
| City | Gardnerville | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89410 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261513495 | EIN |
| Primary Activities | Rural health and senior care clinic | PrimaryActivitiesTxt |
| Legal Domicile State | NV | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Washoe Barton Medical Clinic | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carson Valley Health Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1107 Highway 395 | AddressLine1Txt |
| City | Gardnerville | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89410 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364649725 | EIN |
| Primary Activities | Charitable Foundation | PrimaryActivitiesTxt |
| Legal Domicile State | NV | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Washoe Barton Medical Clinic | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |